| 程少毅冯征王艳卢强张天翼李小飞周勇安△.碘伏法电视胸腔镜治疗原发性自发性气胸98 例的临床研究*[J].,2014,14(17):3283-3285 |
| 碘伏法电视胸腔镜治疗原发性自发性气胸98 例的临床研究* |
| A Clinical Study on 98 Cases of Primary Spontaneous PneumothoraxTreated by Video-assisted Thoracoscopic Surgery with Iodophor* |
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| DOI： |
| 中文关键词: 自发性气胸 电视胸腔镜 复发 胸膜固定术 碘伏 |
| 英文关键词: Pneumothorax Video-assisted thoracoscope Recurrence rate Pleurodesis Iodophor |
| 基金项目:陕西省自然科学基金（2012JM4022） |
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| 中文摘要: |
| 摘要目的：探讨碘伏法电视胸腔镜治疗原发性自发性气胸的安全性及临床疗效。方法：回顾性研究2010 年1 月-2013 年1 月唐
都医院胸腔外科收治的98 例原发性自发性气胸患者，按照是否行胸膜固定术随机分为两组，比较两组患者的手术时间、术中出
血、术后引流量、住院时间、术后并发症发病率及术后1 年气胸的复发率。结果：两组患者的手术时间、术中出血、术后漏气时间、
住院时间及术后并发症(广泛皮疹、低血压、伤口感染)的发生率比较差异均无统计意义(P>0.05)，术中行胸膜固定术可显著降低术
后气胸的复发率(P<0.01)。结论：电视胸腔镜手术过程中利用碘伏涂擦壁层胸膜行胸膜固定术是一种能够有效预防原发性自发性
气胸术后气胸复发的安全可靠的治疗方式。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate the clinical effect and safety of primary spontaneous pneumothorax with iodophor in the
treatment of primary spontaneous pneumothorax. Methods:A retrospective study was performed on 98 patients with primary spontaneous
pneumothorax, according to the use of pleurodesis, they were randomly divided into two groups. The operation time, intraoperative
bleeding, postoperative drainage, hospitalization time, postoperative complications and the recurrence rate of pneumothorax in 1 years
after operation- were compared between two groups. Results：No significance was found in the operation time, intraoperative bleeding,
postoperative leakage time, hospitalization time and postoperative complications (widespread rash, hypotension, wound infection)
between two groups (p>0.05), intraoperative pleural fixation could significantly reduce the recurrence rate of pneumothorax after
operation (P<0.01).Conclusion： Video-assisted thoracoscopic operation with iodophor was an effective method to reduce the recurrence
of pneumothorax of primary spontaneous pneumothorax after operation. |
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